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When You Should See a Doctor. During a shingles outbreak, you should see a doctor when: 1  Shingles symptoms begin to develop on your face or head, especially near the eyes. 2  Watch for pain in these areas and changes in vision.his can be a sign of postherpetic neuralgia, a painful condition where the nerves have been damaged by the virus. Postherpetic neuralgia is most common in older adults. You should also see a health practitioner if you have repeated outbreaks of shingles.
Shingles without a rash is difficult to diagnose based on your symptoms alone. Your doctor may test your blood, cerebrospinal fluid, or saliva to identify the presence of VZV antibodies. This will allow them to confirm a diagnosis of shingles without a rash.